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Revista Brasileira de Anestesiologia

Valentina Bergamaschi, Gian Luca Vignazia, Antonio Messina, Davide Colombo, Gianmaria Cammarota, Francesco Della Corte, Egidio Traversi, Paolo Navalesi
BACKGROUND AND OBJECTIVES: Transthoracic echocardiography may potentially be useful to obtain a prompt, accurate and non-invasive estimation of cardiac output. We evaluated whether non-cardiologist intensivists may obtain accurate and reproducible cardiac output determination in hemodynamically unstable mechanically ventilated patients. METHODS: We studied 25 hemodynamically unstable mechanically ventilated intensive care unit patients with a pulmonary artery catheter in place...
November 6, 2018: Revista Brasileira de Anestesiologia
Hilary P Grocott
No abstract text is available yet for this article.
November 5, 2018: Revista Brasileira de Anestesiologia
Rabie Soliman, Gomaa Zohry
BACKGROUND: Aneurysmal subarachnoid hemorrhage is an important cause of premature death and disability worldwide. Magnesium sulphate is shown to have a neuroprotective effect and it reverses cerebral vasospasm. Milrinone is also used in the treatment of cerebral vasospasm. The aim of the present study was to compare the effect of prophylactic magnesium sulphate and milrinone on the incidence of cerebral vasospasm after subarachnoid hemorrhage. METHODS: The study included 90 patients with aneurysmal subarachnoid hemorrhage classified randomly (by simple randomization) into two groups: magnesium sulphate was given as an infusion of 500mg...
November 5, 2018: Revista Brasileira de Anestesiologia
Nevriye Salman, Bilge Olgunkeleş, Umut Bektaş, Derviş Güner, Meltem Bektas, Şadan Ay, Sumru Şekerci
OBJECTIVE: Postoperative pain control is important in terms of early recovery and rehabilitation in arthroscopic meniscectomy. For this purpose, we aimed to compare the effects of intraarticular tramadol, magnesium, and ketamine with combinations of pericapsular bupivacaine on postoperative pain and recovery in arthroscopic meniscectomy. METHODS: Ninety patients who underwent arthroscopic meniscectomy were enrolled in the study. Group T was given tramadol, Group K was given ketamine, and Group M was given magnesium reconstituted intraarticularly, and all groups received periarticular bupivacaine...
November 5, 2018: Revista Brasileira de Anestesiologia
Marilia F Lemos, Sylvio V Lemos-Neto, Louis Barrucand, Nubia Verçosa, Eduardo Tibirica
BACKGROUND AND OBJECTIVES: Preoperative instruction is known to significantly reduce patient anxiety before surgery. The present study aimed to investigate the effects of preoperative education on the level of anxiety of cancer patients undergoing surgery using the self-reported Beck anxiety inventory. METHODS: This study is a short-term observational study, including 72 female patients with a diagnosis of endometrial cancer who were scheduled to undergo surgical treatment under general anesthesia...
November 3, 2018: Revista Brasileira de Anestesiologia
Nur Canbolat, Mehmet Ilke Buget, Nukhet Sivrikoz, Demet Altun, Suleyman Kucukay
BACKGROUND AND OBJECTIVES: Neutrophil to lymphocyte ratio is a simple, cost-effective and easily applicable inflammation indicator that is being used frequently in mortality, morbidity and prognosis studies in the recent years. We evaluated the relationship between neutrophil to lymphocyte ratio and postoperative pain in patients undergoing total hip arthroplasty and total knee arthroplasty. MATERIAL AND METHODS: We included 101 patients who preferred spinal anesthesia and intravenous patient-controlled analgesia in accordance and divided them into two groups, total hip arthroplasty and total knee arthroplasty...
November 3, 2018: Revista Brasileira de Anestesiologia
Ahmet Murat Yayik, Ali Ahiskalioglu, Erkan Cem Çelik, Aysenur Ay, Atila Ozenoglu
INTRODUCTION: The erector spinae plane block is a newly described and effective interfascial plane block for thoracic and abdominal surgery. This case report describes a patient with multiple rib fractures undergoing ultrasound-guided continuous erector spinae plane block for analgesia. CASE REPORT: A 37-year-old male patient was taken for surgical fixation of multiple rib fractures. At the end of the surgery, using ultrasound-guided longitudinal parasagittal orientation 3cm to the lateral aspect of the T5 spinous process and an in-plane technique, 20mL 0...
November 1, 2018: Revista Brasileira de Anestesiologia
Catarina Oliveira, Catarina Marques, Vânia Simões, Leina Spencer, Rita Poeira, Margarida Casteleira
BACKGROUND AND OBJECTIVES: Sugamadex is a modified gamma-cyclodextrin, the first selective agent for reversal of neuromuscular blockade induced by steroidal non-depolarizing muscle relaxants, with greater affinity for rocuronium. In this article we present a case of severe bradycardia and asystole following sugammadex administration. CASE REPORT: A 54-year-old male patient, ASA II, with a history of hypertension, dyslipidemia and obesity, who underwent an emergency umbilical herniorrhaphy under balanced general anesthesia...
October 19, 2018: Revista Brasileira de Anestesiologia
Leonardo Diniz Correa Pinto, Cláudia Helena Ribeiro da Silva, Pedro Marcos Silva E Gonçalves, Roberto José Valadares
BACKGROUND AND OBJECTIVES: Ultrasound-guided upper limb blocks may provide great benefits to patients with serious diseases. Patients with Steinert's disease have muscle weakness and risk of triggering myotomy or malignant hyperthermia due to the use of anesthetic agents and surgical stress. The objective of this report was to demonstrate a viable alternative for clavicle fracture surgery with upper trunk and supraclavicular nerve block, thus reducing the spread of local anesthetic to the phrenic nerve in a patient with muscular dystrophy...
October 6, 2018: Revista Brasileira de Anestesiologia
Fernanda Moreira Gomes Mehlmann, Leonardo Henrique Cunha Ferraro, Paulo César Castello Branco de Sousa, Graziella Prianti Cunha, Esthael Cristina Querido Avelar Bergamaschi, Alexandre Takeda
BACKGROUND: A patient's ability to move his/her fingers during hand surgery may be helpful to surgeons because it allows the effectiveness of the intervention evaluation and prediction of hand function in the postoperative period. The purpose of this case series is to demonstrate the efficacy of an ultrasound-guided peripheral nerve block technique to maintain the hand flexor and extensor muscles motor function and discuss the benefits of the technique for trigger finger surgery. CASE REPORT: Ten patients scheduled to undergo trigger finger surgery were selected...
October 6, 2018: Revista Brasileira de Anestesiologia
Angélica de Fátima de Assunção Braga, Vanessa Henriques Carvalho, Franklin Sarmento da Silva Braga, Rosa Inês Costa Pereira
INTRODUCTION: Lumbar epidural block is an effective and routinely used technique for labor pain relief, and the combined spinal-epidural block has the benefit of using lower doses of local anesthetics and rapid onset of analgesia. The objective of this study was to evaluate the effectiveness and safety of two anesthetic techniques: combined spinal-epidural block and continuous epidural block in pregnant women for labor analgesia. METHODS: Eighty patients, ASA II and III, with cephalic presentation and cervical dilation between 5 and 6 centimeters, undergoing labor analgesia, allocated in two groups according to the anesthetic technique: combined spinal-epidural (GI) and continuous epidural (GII)...
September 12, 2018: Revista Brasileira de Anestesiologia
Ahmet Murat Yayik, Sevim Cesur, Figen Ozturk, Ali Ahiskalioglu, Erkan Cem Celik
INTRODUCTION: Hip surgery is a major surgery that causes severe postoperative pain. Although pain during rest is usually considerably reduced mobilization is important in terms of thromboembolic complications. The quadratus lumborum block is a regional analgesic technique that blocks T6-L3 nerve branches. This block may provide adequate analgesia and reduce opioid consumption after hip surgery. CASE REPORT: We performed continuous quadratus lumborum type 3 block in two patients who underwent hip arthroplasty...
September 5, 2018: Revista Brasileira de Anestesiologia
Fernando Calado de Oliveira Camacho, Elena Segura-Grau
Thoracic trauma with rib fractures is a challenging condition due to the severe associated pain. Uncontrolled pain impairs breathing and an adequate pain control is necessary to provide comfort and to avoid further complications. Serratus Anterior Plane block is a procedure safe and easy to accomplish. The authors describe a case of thoracic trauma with rib fractures and respiratory compromise. Pain control was only achieved after performing a Serratus Anterior Plane block. The technique was done as described in the medical literature with placement of a catheter...
August 21, 2018: Revista Brasileira de Anestesiologia
Neusa Lages, Diana Vieira, Joana Dias, Cláudia Antunes, Tiago Jesus, Telmo Santos, Carlos Correia
Ultrasound has increasingly growing applications in anesthesia. This procedure has proven to be a novel, non-invasive and simple technique for the upper airway management, proving to be a useful tool, not only in the operating room but also in the intensive care unit and emergency department. Indeed, over the years mounting evidence has showed an increasing role of ultrasound in airway management. In this review, the authors will discuss the importance of ultrasound in the airway preoperative assessment as a way of detecting signs of difficult intubation or to define the type and/or size of the endotracheal tube as well as to help airway procedures such as endotracheal intubation, cricothyrotomy, percutaneous tracheal intubation, retrograde intubation as well as the criteria for extubation...
November 2018: Revista Brasileira de Anestesiologia
Feride Karacaer, Ebru Biricik, Murat Ilgınel, Çağatay Küçükbingöz, Mehmet Ağın, Gökhan Tümgör, Yasemin Güneş, Dilek Özcengiz
BACKGROUND AND OBJECTIVES: Pediatric patients frequently require deep sedation or general anesthesia for colonoscopy. This study was designed to compare the sedative efficacy of remifentanil-ketamine combination with propofol-ketamine combination in children undergoing colonoscopy. METHODS: Seventy patients, between 2 and 16 years of age, scheduled for diagnostic colonoscopy were randomly allocated into two groups. Remifentanil-ketamine group received intravenous ketamine 2mg...
November 2018: Revista Brasileira de Anestesiologia
Khaled Abdel-Baky Abdel-Rahman, Sayed Kaoud Abd-Elshafy, Jehan A Sayed
BACKGROUND AND OBJECTIVE: Emergence agitation is a postoperative negative behavior that affects mainly children. We studied the effect of two different doses of dexmedetomidine on the incidence and degree of EA in children undergoing strabismus surgery. METHODS: 90 patients were allocated into three equal groups; patients received 0.5μ of dexmedetomidine in high Dex group, 0.25μ of dexmedetomidine in low Dex group, or normal saline in the placebo group...
November 2018: Revista Brasileira de Anestesiologia
Osman Çevik, Özlem Öz Gergin, Karamehmet Yildiz, Adnan Bayram, Özlem Canöz, Mehmet Halici, Münevver Baran, Arzu Yay, Sait Polat
BACKGROUND: A single dose injection or continuous infusion of local anesthetics into the joint space is considered to be a well-defined analgesia technique. The aim of this study was to investigate the chondrotoxic and apoptotic effects of single-dose intra-articular injection of levobupivacaine and bupivacaine on rabbit knee joint tissues. MATERIALS AND METHODS: The animals were allocated into two groups each containing 20 rabbits. 0.5% levobupivacaine (Group L) and 0...
November 2018: Revista Brasileira de Anestesiologia
Sofia M Ferraz, João P Moreira, Leonor C Mendes, Tania M Amaral, Ana R Andrade, Alice R Santos, Fernando J Abelha
PURPOSE: Postoperative recovery is a complex process with physiologic, functional, and psychologic dimensions. Postoperative quality of recovery is considered as a crucial outcome following surgery and anesthesia. The objective of this study was to assess and compare the quality of postoperative recovery and health status before and after surgery, in patients undergoing elective surgery. METHODS: This observational, prospective study was conducted on patients proposed for elective surgery...
November 2018: Revista Brasileira de Anestesiologia
Shuzhen Yu, Yongqing Guo, Weiwei Zhang, Lina Zheng, Junming Ren, Jianmin Jin, Baofeng Yu, Yu Zhang, Hao Wang, Yuhong Zhang
INTRODUCTION: Hepatic ischemia-reperfusion injury is a common pathophysiological process in liver surgery. Whether Propofol can reduce myocardial ischemia-reperfusion injury induced by hepatic ischemia-reperfusion injury in rats, together with related mechanisms, still needs further studies. OBJECTIVE: To investigate if propofol would protect the myocardial cells from apoptosis with hepatic ischemia-reperfusion injury. METHODS: Male Sprague-Dawley rats (n=18) were randomly allocated into three groups: Sham Group (Group S, n=6), Hepatic Ischemia-reperfusion Injury Group (Group IR, n=6) and Propofol Group (Group P, n=6)...
November 2018: Revista Brasileira de Anestesiologia
Bruno Mendes Carmona, Clauber Claudino Alves Almeida, Waldônio de Brito Vieira, Mario de Nazareth Chaves Fascio, Lídia Raquel de Carvalho, Luiz Antonio Vane, Fabiano Timbó Barbosa, Paulo do Nascimento Junior, Norma Sueli Pinheiro Módolo
BACKGROUND: Adequate preoperative fasting is critical in preventing pulmonary aspiration of gastric content. We proposed to study the sonographic gastric content dynamics after the ingestion of liquid or solid food in healthy volunteers and confront it with current guidelines for preoperative fasting times. METHODS: We performed a prospective, crossover, evaluator-blinded study involving 17 healthy volunteers of both sexes. Each participant fasted for 10h and was subjected to a baseline gastric ultrasound, intake of 400mL of coconut water or a 145g, 355kcal meat sandwich, and sonographic gastric evaluations after 10min and every hour until the stomach was completely empty...
November 2018: Revista Brasileira de Anestesiologia
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